Individual
BRENDA JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC SLP
Contact information
Practice address
1205 N RAUL LONGORIA RD, SUITE I, SAN JUAN, TX 78589
(956) 782-5800
(956) 782-5802
Mailing address
705 SONIA CIR, ALAMO, TX 78516-3749
(956) 223-9337
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
38977
TX
235Z00000X
Speech-Language Pathologist
Primary
113498
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38977
STATE LICENSE
TX
Enumeration date
04/29/2015
Last updated
08/28/2018
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